Digital Commons Network^™

Decoding Readiness For Clinical Practicum: Undergraduate Nursing Students’ Perspectives, Clinical Evaluations, And Comparative Curriculum Variations, Imad Maalouf, Wafaa El Zaatari

All Works

Background: Nursing students’ readiness for clinical practicums is critical to nursing education. Concerns about students’ preparedness for clinical courses have emerged due to increased student-to-educator ratios and limited hands-on practice time. Moreover, feedback from clinical instructors reveals that many student nurses lack the necessary knowledge and skills for patient care, thereby raising questions about their readiness for clinical practicum. Purpose: This study investigates undergraduate nursing students’ readiness for clinical practicum in the UAE by examining their perspectives, the variation in clinical study plans across different contexts, and the evidence gathered from clinical evaluations. Methodology: A case study design was adopted, …

Latent Profiles Of Couples' Marital Power And Gender Ideologies: Associations With Physical Intimate Partner Violence, Rylie Speirs

Theses and Dissertations

This study aims to identify couple typologies regarding gender ideologies and marital power, and investigate how couple typologies relate to sociodemographic characteristics as well as rates of physical intimate partner violence (IPV). Several theoretical approaches connect marital power and gender ideologies to IPV but emphasize different couple typologies. For example, family violence perspectives suggest gender ideology mismatch is a stressor that increases the likelihood of either spouse reporting low power or engaging in physical IPV. Feminist theories add that men may use IPV to maintain patriarchal power dynamics when women deviate from traditional gender norms, emphasizing the risk of IPV …

Analyzing The Intention To Volunteer Through The Integrated Model Of Behavioral Prediction, Sage Mendre

University Honors Theses

Nationwide, a significant portion of adults lack basic, functional literacy skills. To combat functional illiteracy in the United States, non-profit organizations who focus on literacy require the services of volunteers. In Portland, Oregon, the Portland Literacy Council (PLC) is responsible for training volunteer tutors to help people learning English as a second language (ESL) and native English speakers who want to improve their literacy skills. The integrated model of behavioral prediction (IMBP) is a communication theory that identifies the core factors that can lead to the intention to perform a behavior. The connection between volunteering in literacy environments and IMBP …

Mindfulness-Based Stress Reduction And Mindfulness-Based Cognitive Therapy As Interventions For Generalized Anxiety Disorder: A Meta-Analytic Review, Amitojeroop Kaur

Honors Scholar Theses

This systematic review and meta-analysis examined the efficacy of mindfulness-based interventions (MBIs), specifically Mindfulness-Based Stress Reduction (MBSR) and Mindfulness-Based Cognitive Therapy (MBCT), in reducing anxiety symptoms in individuals with Generalized Anxiety Disorder (GAD). A review of the literature revealed that while GAD affects millions globally, many individuals diagnosed with GAD do not receive treatment. This review evaluated the effectiveness of MBIs using randomized controlled trials (RCTs) and non-RCTs, focusing on effect sizes, study quality, and control conditions. The central hypothesis was that MBCT would significantly reduce anxiety symptoms, particularly in comparison to inactive control groups. Meta-analytic results showed that MBSR …

A Cascading Effects Model Of Early Sensory Development In Autism, Natalie Russo, Carissa J. Cascio, Grace T. Baranek, Tiffany G. Woynaroski, Zachary J. Williams, Shulamite A. Green, Roseann Schaaf

Department of Occupational Therapy Faculty Papers

Autism has historically been defined by the presence of differences in social communication and restricted, repetitive patterns of behavior, interests, or activities (RRBs). Since 2013 when the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders was published, sensory features were added as one of the polythetic restricted and repetitive behavior diagnostic criteria of autism, though it has remained understudied. Here, we summarize theory and research to provide support for the perspective that early sensory functions and experiences play a primary role in autism and have downstream effects on social communication and repetitive behavioral features of autism. The …

Infectious Endophthalmitis: An Overview Of Clinical Features, Microbiology Profile, And Antibiotic Sensitivity Pattern, Seyed Ali Tabatabaei, Ahmad Masoumi, Arash Mirzaei, Reza Mirshahi, Bita Momenaei, Faezeh Moghimpour Bijani, Ali Rashidinia, Mohammadreza Nazari, Mohammad Ahadifard, Zahra Mahdizad, Samer Habeel, Seyed Mahbod Baharnoori, Mohammad Soleimani

Wills Eye Hospital Papers

PURPOSE: To describe the demographic characteristics, etiology, microbiological spectrum, and antibiotic sensitivity patterns in patients with endophthalmitis.

METHODS: This is a retrospective case series spanning from May 2012 to September 2018. All included patients were diagnosed with endophthalmitis and confirmed by laboratory tests. Data were collected on patient demographics, types of endophthalmitis, and microbiologic and medical records.

RESULTS: Nine hundred ninety-two records of patients with endophthalmitis were assessed. Of the total cases, 657 patients (66.2%) were male, whereas 335 (33.8%) were female. The mean age of the patients was 57.2 ± 22.8 years and ranged from 2 to 95 years. …

Triterpenoid Cddo-Ea Protects From Hyperglycemia, Hyperinsulinemia, And Obesity By Decreasing Energy Intake, Austin E. Cantu, Cordelia Rasa, Shizue Mito, Denae Cantu, Juan Lopez-Alvarenga, Leslie L. Rivera-Lopez, Israel Rios, Ashley Abrego-Gonzalez, Sara M. Reyna

School of Medicine Publications

Obesity is a significant factor in the development of type 2 diabetes (T2D). Treatment of obesity is pivotal in the prevention and management of T2D, and the development of new pharmacological therapies are studied for improving insulin resistance and glucose intolerance. Oleanolic acid-derived triterpenoids, 2-cyano-3,12-dioxoolean-1,9-dien-28-oic acids (CDDOs), are studied to elucidate the mechanisms by which they protect against obesity. However, fundamental knowledge gaps remain regarding the physiological and molecular mechanisms by which CDDOs protect against obesity. Our recently published studies showed that CDDO-ethyl amide (CDDO-EA) prevents skeletal muscle inflammation by inhibiting activation of nuclear factor-kappa B (NF-κB) signaling. Moreover, CDDO-EA …

Beyond The Curriculum: The Influence Of Teacher-Student Relationships In Special Education, Courtney Romero

Theses and Dissertations from DePaul University

This study explores the experiences of high school special education students and their relationships with their teachers. The research question at the heart of this study is: What are the perceptions of high school students with special needs regarding positive, sustained relationships with their teachers? Literature regarding the influences for both teachers and students and relationship-driven pedagogy is presented. This study is grounded in Nel Noddings’ ethics of care, Lisa Delpit’s “warm demander” model, and literature regarding relationships during the COVID-19 pandemic are included as frameworks to explore how these relationships develop, are maintained, and how they have changed since …

Leadership Attributes To Guide The Adoption And Curricular Design Process Of Environmental Sustainability Education For Ec-12 Public School Districts, Katherine Marie Seguino

Theses and Dissertations from DePaul University

Though awareness of environmental issues increases, limited resources are available as guidance for public school leadership to introduce and implement Environmental Sustainability Education (ESE) into their curriculum. Increasing evidence exists supporting the why ESE should be part of the curriculum, however few resources are available on the how to successfully implement it. This study seeks to provide insight to public school leaders regarding attributes beneficial to gain support of their communities and points to consider for crafting culturally relevant ESE curriculum. Public schools serve over 90% of American students, if this environmental crisis is to be solved, ESE must be …

Highway-Transportation-Asset Criticality Estimation Leveraging Stakeholder Input Through An Analytical Hierarchy Process (Ahp), Kwadwo Amankwah, Sarah Hernandez, Suman Kumar Mitra

Civil Engineering Faculty Publications and Presentations

Transportation agencies face increasing challenges in identifying and prioritizing which infrastructure assets are most critical to maintain and protect, particularly amid aging networks, limited budgets, and growing threats from climate change and extreme events. However, existing prioritization approaches often lack consistency and fail to adequately incorporate diverse stakeholder perspectives. This study develops a systematic, stakeholder-informed method for ranking transportation assets based on their criticality to the overall transportation system. As a novel approach, we use the analytical hierarchy process (AHP) and present a case study of the applied approach. Six criteria were identified for ranking assets: annual average daily traffic …

Reactivity To Environmental And Social Demands In Autistic And Neurotypical Children: More Alike Than Different?, Sarah-Ann Louder James

Theses and Dissertations

Research has increasingly recognized that empathy difficulties between autistic and neurotypical individuals are mutual. As empathy depends on shared understanding, identifying common ground between autistic and neurotypical children is important to foster greater empathy. This study examined reactivity patterns in autistic and neurotypical children to explore how similarities in reactivity might promote empathy across neurodiverse groups. Using a quantitative, survey-based design, parents of 56 children (19 autistic, 37 neurotypical; ages 5-11) completed a novel measure developed for this study, the Reactivity to Scenarios of Differing Intensity (RSDI), which measures children's reactivity to various social and environmental scenarios of differing intensity. …

The Role Of Gender And Sexual Identity In Mental Health Outcomes For Asylum-Seeking Survivors Of Sexual Torture, Samantha A. M. Doerr

Clinical Psychology Dissertations

Millions of people worldwide flee violent persecution each year, with more than 6.8 million estimated to have sought asylum in 2023 alone (United Nations High Commission on Refugees, 2025). Up to 40% of refugees and asylum-seekers are reported to be survivors of torture, with sexual torture one of the most commonly-reported means of torture, particularly among women and LGBTQ+ populations (Abu Suhaiban, 2019; Hopkinson et al., 2017; United Nations High Commission on Refugees, 2017). Sexual torture has been associated with severe impacts on mental health, including posttraumatic and depressive symptoms. Despite marked differences in sexual torture risk across gender and …

Patterns Of Late Holocene And Historical Extinctions On Madagascar, Laurie R. Godfrey, Zachary S. Klukkert, Brooke E. Crowley, Robin R. Dawson, Peterson Faina, Benjamin Z. Freed, Evon Hekkala, Cortni Borgerson, Harimanjaka A. M. Rasolonjatovo, Patricia C. Wright, Stephen J. Burns

EKU Faculty and Staff Scholarship

Around 1000 years ago, Madagascar experienced the collapse of populations of large vertebrates that ultimately resulted in many species going extinct. The factors that led to this collapse appear to have differed regionally, but in some ways, key processes were similar across the island. This review evaluates four hypotheses that have been proposed to explain the loss of large vertebrates on Madagascar: Overkill, aridification, synergy, and subsistence shift. We explore regional differences in the paths to extinction and the significance of a prolonged extinction window across the island. The data suggest that people who arrived early and depended on hunting, …

Standardizing Discharge Planning To Reduce Readmission Rates In Outpatient Mental Health Clinics, Navasha Martin

Walden Dissertations and Doctoral Studies

Psychiatric readmission rates remain a major concern in outpatient mental health clinics, often resulting from inconsistent discharge practices and limited patient education. This Doctor of Nursing Practice (DNP) project aimed to develop and evaluate a clinical practice guideline (CPG) to standardize discharge planning and reduce psychiatric readmission rates. Guided by the question: Does evidence support the quality of an evidence-based standardized discharge planning protocol to reduce readmissions?, this project integrated findings from a structured literature review and expert panel evaluation. The CPG was developed using evidence-based strategies and evaluated using the AGREE II instrument, a validated tool for assessing the …

Effective Leadership Strategies For The Implementation Of Innovative Technologies To Improve Access To Health Facilities, Nicole Aromolaran

Walden Dissertations and Doctoral Studies

Integrating innovative healthcare technology into strategic planning and implementation has transformed how organizations address healthcare disparities through enhanced leadership strategies. Some health facility leaders are concerned about the lack of effective strategies for implementing innovative technology, as it hinders patient access and weakens organizational competitiveness. Grounded in transformational leadership theory and the technology acceptance model, the purpose of this qualitative pragmatic inquiry study was to identify and explore effective strategies that health facility leaders used to implement innovative technology to improve healthcare access and competitive advantage. The participants were four leaders within the healthcare and information technology sector, with at …

United Through Reading: Longitudinal Evaluation 18-Month Findings, Erica M. Hawvermale, Cassidy J. Cooper, Bonnie Chapman Beers

Institute for Veterans and Military Families

This report details the findings from the first eighteen months of a longitudinal evaluation of United Through Reading's (UTR) programs and services across four outcome areas: 1) child literacy, 2) child wellbeing, 3) adult wellbeing, and 4) family connection.

Translucency And Stain Resistance Of A Light Cured Pontic Paste, Ahmed Abumustafa

All ETDs from UAB

Objectives: Light-cured pontic pastes can be applied to the internal aspect of clear retainer/aligner trays at sites of missing teeth. Ideally, the pontic tooth should appear visually opaque and resist staining. The aim of this study was to determine if the number of coats of the paste will affect its translucency and stain resistance. Materials and Methods: 12mm diameter discs of a biocryl clear retainer material (Clear Splint) (n=10) were punch-cut. Light-cure pontic paste (Perfect-A-Smile Pontic) was applied to one side of the biocryl discs in 1, 2, 3 or 4 coats (200-400g /coat). The paste was light cured between …

Performance Of Islamic Banks During The Covid-19 Pandemic: An Empirical Analysis And Comparison With Conventional Banking, Umar Butt, Trevor Chamberlain

All Works

This study examines the performance and resilience of Islamic banks during the COVID-19 pandemic, a period marked by unprecedented global economic disruption. Drawing on empirical data and a comparative analysis with conventional banking institutions, the research evaluates key financial indicators—liquidity, profitability, asset quality, and capital adequacy—to assess how Islamic banks responded to the crisis. The unique principles of Islamic finance, including risk-sharing, asset-backed financing, and the prohibition of interest and speculative activities, provide a distinct framework for crisis response. By analyzing how these features influenced bank performance during the pandemic, the study offers valuable insights into the relative robustness of …

A Novel Approach To Treat Trastuzumab Resistant Her2+ Breast Cancer: Activation Pkcδ, Maria Grazia Mejia Monroy

Master's Theses

In the United States, approximately one in eight women will be diagnosed with invasive breast cancer in her lifetime and one in forty will die from breast cancer. From among all the different subtypes of breast cancer, HER2+ can be found in approximately 20% of breast cancer tumors. HER2 overexpression has been associated with an aggressive form of breast cancer, increasing the risk of metastasis or recurrent tumors in 50% of patients. The standard of care for HER2 positive breast cancer, trastuzumab, has been effective for some patients; however, others develop resistance over time, leading to disease progression and metastasis. …

Swi/Snf Atpase Silenced Hlf Potentiates Lung Metastasis In Solid Cancers, Jin Zhou, Austin Hepperla, Jeremy M Simon, Kangsan Kim, Qing Hu, Chuanhai Zhang, Lei Dong, Lianxin Hu, Cheng Zhang, Chengheng Liao, Alice Fang, Yayoi Adachi, Haoyong Fu, Tao Wang, Qian Liang, Fangzhou Zhao, Hongyi Liu, Masashi Takeda, Jun Fang, Hua Zhong, Peter Ly, Lu Wang, Payal Kapur, Lin Xu, Liwei Jia, Srinivas Malladi, James Brugarolas, M Celeste Simon, Bo Li, Qing Zhang

Faculty, Staff and Student Publications

Metastasis is the main cause of cancer-related deaths, yet the underlying mechanisms remain elusive. Here, using clear cell renal cell carcinoma (ccRCC), a tumor type with frequent lung metastases, we conduct an in vivo genome-wide CRISPR-Cas9 screen and identify HLF as a potent suppressor of lung metastasis. HLF depletion enhances ccRCC cell migration and lung metastasis, whereas HLF overexpression abrogates these effects. In ccRCC patients, HLF expression is reduced at metastatic sites and associates with epigenetic silencing mediated by the SWI/SNF ATPase subunit BRG1. HLF levels negatively correlate with migration potential in collagen. Mechanistically, HLF regulates LPXN expression, modulating the …

Senescence Caused By Telomerase Inactivation In Myeloid, Mesenchymal, And Endothelial Cells Has Distinct Effects On Cancer Progression, Joseph Rupert, Zhanguo Gao, Yongmei Yu, Mikhail G Kolonin

Faculty, Staff and Student Publications

The effects of cell senescence in individual cell populations of the tumor microenvironment (TME) on cancer progression remain unclear. Here, we investigated the effects of cell senescence caused by inactivation of the catalytic subunit of telomerase (Tert) in distinct TME components. We generated genetic Tert knockout (KO) mice driven by the LysM promoter in myeloid cells, by the Pdgfra or Pdgfrb promoter in mesenchymal cells, and by the Tie2e promoter in endothelial cells. We compared the effect of the Tert KOs in syngeneic models of orthotopically grafted E0771 breast adenocarcinoma, RM1 prostate adenocarcinoma, and KPC pancreatic adenocarcinoma. Tumors in LysM-Tert …

Omitting Regional Nodal Irradiation After Response To Neoadjuvant Chemotherapy, Eleftherios P Mamounas, Hanna Bandos, Julia R White, Thomas B Julian, Atif J Khan, Simona F Shaitelman, Mylin A Torres, Frank A Vicini, Patricia A Ganz, Susan A Mccloskey, Peter C Lucas, Nilendu Gupta, X Allen Li, Beryl Mccormick, Benjamin Smith, Rahul D Tendulkar, Vivek S Kavadi, Koji Matsumoto, Samantha Andrews Seaward, William J Irvin, Jolinta Y Lin, Robert W Mutter, Thierry M Muanza, Jannifer Stromberg, Reshma Jagsi, Anna C Weiss, Walter J Curran, Norman Wolmark

Faculty, Staff and Student Publications

Background: The benefit of regional nodal irradiation in the treatment of breast cancer is well established for patients with pathologically positive axillary nodes, but whether it is also beneficial for patients whose nodes become pathologically tumor free (ypN0) after neoadjuvant chemotherapy remains unclear.

Methods: We evaluated whether regional nodal irradiation improves outcomes in patients with biopsy-proven, node-positive breast cancer who reach ypN0 status after neoadjuvant chemotherapy. Patients with breast cancer with a clinical stage of T1 to T3 (tumor size, ≤2 cm to >5 cm), N1, and M0 (indicating spread to one to three axillary lymph nodes but no distant …

Development Of Antimicrobal Formulations From Natural Extracts And Silver Nanoparticles, Ellen Hoey, Lily Jaiswal, Shiv Shankar

Level 3

No abstract provided.

Ultrasound-Mediated Drug Uptake And Cytotocicity In Glioblastoma, Julianne Rogan, Janith Wanigasekera, Esen Efeoğlu

Level 3

No abstract provided.

Utah Strawberries: Consumer Preferences For Specialty Labels, Kynda R. Curtis, Makaylie Langford

All Current Publications

This fact sheet is the second of two discussing the results of a study on consumer preferences and willingness to pay (pricing) for fresh strawberries. This fact sheet highlights how specialty labeling influences consumers’ perceptions and willingness to pay. The study was conducted at Utah State University (USU) in August 2024.The study examines familiarity with production and labeling programs, as well as perceptions of local and organic food.

Unraveling The Enigma Of Classification Of Synthetic And Genuine Information Using Machine Learning And Explainable Ai, Vishnu S. Pendyala

Faculty Research, Scholarly, and Creative Activity

There is a preponderance of AI-generated text everywhere today. Literature shows that there has been considerable success in detecting such text. This paper uses explainable AI (XAI) techniques to get insights into the workings of the machine learning models used to classify synthetic text. In detecting such text, this work analyzes synthetic and genuine information from visualization and explainability perspectives. The text is converted into vector embeddings using Robustly Optimized BERT Pretraining Approach (RoBERTa). Variational Autoencoders (VAEs) are used for visualization and Support Vector Machine (SVM) is used for classification. Local Interpretable Model-Agnostic Explanations (LIME), SHapley Additive exPlanations (SHAP), and …

Business Sustainability Strategies Used By Small- And Medium-Sized Enterprise Owners In The Nigerian Hotel Industry, Victor Robert Uko

Walden Dissertations and Doctoral Studies

Some small and medium-sized enterprise (SME) owners in the hotel industry face survival challenges during economic downturns, such as the coronavirus disease (COVID-19) and the 2016 oil glut crisis. SME hotel owners are concerned about addressing these challenges to ensure profitability and sustainability amid economic crises. Grounded in the resource-based view theory, the purpose of this qualitative pragmatic inquiry was to explore strategies SME hotel owners used to maintain business success amid economic crises. The participants were six SME hotel owners in Nigeria who had implemented strategies to remain profitable and sustainable. Data were collected through semistructured interviews and a …

The Relationship Between Food Label Comprehension And Consumer Dietary Choices, Marline Denis

Walden Dissertations and Doctoral Studies

Poor dietary choices and limited understanding of nutritional information are ongoing public health concerns that contribute to the rise of chronic illnesses such as obesity, diabetes, and heart disease. This quantitative, cross-sectional, correlational study investigated the associations between health literacy and food label comprehension with consumer dietary choices and adherence to dietary guidelines among individuals aged 16 and older in the United States. Guided by the Nutrition Label Literacy (NLL) framework, this study explored whether components such as basic nutritional knowledge, numeracy skills, health motivation, and label usage predict healthier food choices. Age, education, and gender were included as covariates. …

Strategic Planning Processes For Profitability And Sustainability Of Small Restaurants In Alberta, Olufemi Oluwasanu Baiyewun

Walden Dissertations and Doctoral Studies

Some small restaurant managers struggle to develop and implement strategic planning processes to achieve profitability and sustainability. As customer attendance declines, these managers face economic challenges and reduced daily sales, often stemming from inadequate strategic planning that could support sustained profitability and long-term success. Grounded in resource-based view theory and dynamic capability theory, the purpose of this qualitative multiple case study was to explore the successful strategic planning processes that small restaurant business managers in Alberta, Canada, use to achieve profitability and sustainability beyond 5 years. The participants were six small restaurant managers who successfully implemented strategic planning processes to …

Cauda Equina Syndrome: A Survey Of Guideline Utilisation In Primary Care In England, Jonathon Gill, Sue Greenhalgh, Jos M. Latour, Gillian Yeowell

School of Nursing and Midwifery

Background: Cauda equina syndrome (CES) is a spinal emergency. Over half of known cases first present to primary care for initial assessment. In February 2023, the Getting It Right First Time (GIRFT) national programme launched new CES guidelines, which included an important change in practice: a new urgent referral route. Aim: This study aims to explore the awareness and use of the GIRFT guidelines in a primary care setting in England. Design and Setting: A cross-sectional online survey was used to collect data from primary care clinicians working across England. Method: Using purposive sampling, the survey was shared with primary …